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Conceptualizing Motivation and Change in Substance Abuse Treatment

Credit Value: 2

Exam Questions: 20

Passing Grade: 15 correct

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Course Description:

This course is based on a publication by SAMHSA and is available at the National Library of Medicine about enhancing motivation for change in substance abuse treatment.  This course defines the concept of motivation and discusses its role in substance abuse treatment. This course also uncovers the common myths about substance addiction and treatment.  Additionally, information is provided on the process of behavioral change and how this process is related to substance abuse treatment.  This course serves as an excellent resource for mental health professionals who would like to build or refresh their knowledge about enhancing motivation for change in substance abuse problems. 

 

Psychologists, social workers, mental health counselors and marriage and family therapists can benefit from this course. This course may also be helpful for other practitioners, such as midwives and dieticians and nutritionists who may want to use motivational enhancement in their clinical work with patients.   This course is appropriate for beginning, intermediate and advanced level practitioners who wish to learn more about enhancing motivation for change and who wish to develop their clinical skills in this area.

Author: SAMHSA

Learning Objectives:  This course will provide a professional with an overview of enhancing motivation for change in substance abuse treatment. Specifically, a professional will:

  • Define motivation and its role in substance abuse treatment.
  • Describe the models explaining substance addiction and treatment.
  • Describe intervention techniques for treating substance abuse.

 

Citation:  AHCPR Archived reports, Put Prevention Into Practice and Minnesota Health Technology Advisory Committee SAMHSA/CSAT Treatment Improvement Protocols 35. TIP 35: Enhancing Motivation for Change in Substance Abuse Treatment;  Chapter 1-- Conceptualizing Motivation And Change

Credits: 2 Exam Fee: $20.00 Format: Online


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  Exam Questions for Conceptualizing Motivation and Change in Substance Abuse Treatment
1.  In substance abuse treatment, motivation has been described as a . . .
Prerequisite for treatment
Catalyst for change
Reflection of treatment effectiveness
A and B

2.  According to recent reviews of motivation, which of the following is NOT said to be characteristic of this construct?
Modifiable
Multidimensional
Static
Fluctuating

3.  According to the humanistic view, the process of _____ prompts goal-directed behavior for enhancing this self.
Self-actualization
Self-enhancement
Motivation
Perseverance

4.  Which of the following is NOT mentioned as one of the experiences that prompt people to begin thinking about making changes?
Distress levels
Critical life events
Cognitive evaluation
Self-actualization

5.  Which of the following statements is NOT true about motivation and substance abuse treatment?
It is the clinician�s responsibility to elicit and enhance client motivation
Motivation is influenced by the clinician�s style
Motivation-enhancing approaches are associated with greater participation in treatment
Confrontation is an effective way to increase motivation

6.  In the ______ model, responsibility for resolving the problem does not rest with the client, and change can come about only through acknowledging loss of control.
Sociocultural
Moral
Medical
Psychological

7.  Twelve step programs are an example of the _____model.
Medical
Moral
Spiritual
Psychological

8.  Substantial research and clinical attention have revealed that the relationship between psychiatric and substance abuse disorders is such that . . .
Substance use can cause psychiatric symptoms and mimic psychiatric disorders.
Substance use can prompt or worsen the severity of psychiatric disorders.
Substance use can mask psychiatric disorders and symptoms.
All of the above

9.  Examples of positive reinforcers of substance use include all EXCEPT:
Peer group acceptance
Elimination of withdrawal symptoms
Drug's effects on the central nervous system
None of the above

10.  The _____ model discusses factors that affect substance use including socioeconomic status, availability of substances, laws and penalties regulating substance use.
Sociological
Sociocultural
Cultural
Ethnic

11.  Conflicts among the competing models of addiction have resulted in the _____ model.
Psychosocial
Biosocial
Biopsychosocial
Biopsychosocial - spiritual

12.  Which of the following is NOT mentioned as a myth about substance use and treatment?
Addiction stems from an addictive personality
Resistance and denial are attributes of addiction
Substance use entails a vicious cycle of destructive behaviors
Confrontation is an effective counseling style

13.  Substance-dependent individuals usually . . .
Have poor insight
Have denial and projection tendencies
Have low-self-esteem
Display a wide range of personalities

14.  When clients disagree with clinicians, refuse to accept clinicians
In denial and resisting treatment
Unmotivated
Disagreeing with their clinician
All of the above

15.  Changes in the addiction field include all EXCEPT:
Use of longer treatment
Focusing on client competencies
Use of empathy over power
Use of less intensive treatment

16.  The two types of natural changes are referred to as . . .
Frequent and substance-related
Common and substance-related
Common and spontaneous
Spontaneous and planned

17.  For most substance-using individuals, progress through the stages of change is _____ in nature.
Exponential
Linear
Spiral
Predictable

18.  Which of the following is NOT one of the stages in the change model proposed by the authors?
Precontemplation
Contemplation
Action
Reaction

19.  During the _____ stage, individuals begin to perceive that there may be cause for concern and reasons to change.
Precontemplation
Contemplation
Preparation
Reaction

20.  Individuals in the _______ stage are still using substances, but typically they intend to stop using very soon.
Precontemplation
Contemplation
Preparation
Maintenance

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